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2019 ‘a critical year’ for Somali politics and development

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In the wake of the Somali Government’s decision last week to expel the head of the UN’s assistance mission, UNSOM, the Security Council on Saturday cautioned that 2019 would be “a critical year” for the east African nation that is reconsituting itself after decades of conflict.

In a statement following on from UN Secretary-General António Guterres on Friday, deeply regretting the Government’s declaration that Nicholas Haysom was persona non grata, the 15 Council members expressed their regret, and thanked the veteran South African lawyer and senior UN official “and underlined their full support” for the United Nations Assistance Mission in Somalia (UNSOM) and its mandate provided last year under Security Council Resolution 2408.

“The members of the Security Council underscored the strong and continued commitment of the international community to support peace, stability and development in Somalia, and reiterated in this regard their expectation of full cooperation between Somalia and the United Nations.”

Mr Haysom was accused by the Somali Federal Government of intefering in its internal affairs, by questioning the detention of an opposition candidate for state-wide office, who had been a leader in the extremist Al-Shabaab group, before defecting. The Government said he had not undergone sufficient rehabilitation or proved his commitment to democratic politics. In protests against the jailing of the candidate in South West state days before the vote, at least 15 died and many were detained, according to news reports.

Mr. Guterres said on Friday that in the interests of putting the Somali people, and the work of UNSOM first, he would be appointing a new Special Representative and head of mission, “in due course”. He offered Mr. Haysom his “full confidence” in his long and successful track record on service to the UN.

Strained relations between central and regional government, and the legislature, together with the complex web of inter-communal politics, have caused tensions across the country, as further elections on Somalia’s road to full democratic government beckon next year.

“The members of the Security Council underlined that 2019 would be a critical year for Somalia, and called on its leaders to work together to advance political and security reforms. The members of the Security Council reaffirmed their respect for the sovereignty, territorial integrity, political independence and unity of Somalia”, said the statement.

Members also “paid tribute to the contribution of the African Union Mission in Somalia (AMISOM), UNSOM, the United Nations Support Office in Somalia (UNSOS), and all Somali and international actors working to bring peace and stability’.

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Fight against human trafficking must be strengthened in Ethiopia

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A group of internally displaced people due to the Tigray conflict gather in a site in Ethiopia's Afar region, Ethiopia. © UNHCR/Alessandro Pasta

Throughout Ethiopia’s Tigray, Afar and Amhar regions, women and girls are becoming increasingly vulnerable to abduction and sex trafficking as they flee ongoing armed conflict, a group of UN-appointed independent human rights experts warned on Monday.

The protracted conflict in the three northern regions have heightened risks of trafficking for sexual exploitation as a form of sexual violence in conflict, the experts said in a statement.

“We are alarmed by reports of refugee and internally displaced women and girls in the Tigray, Afar, and Amhara regions being abducted while attempting to move to safer places,” they said.

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“We are concerned at the risks of trafficking, in particular for purposes of sexual exploitation, including sexual slavery.” 

Women and children in crosshairs

Amidst abductions and displacement, the UN experts raised serious concerns over Eritrean refugee women and children being at particular risk of sex trafficking.

“Urgent action is needed to prevent trafficking, especially for purposes of sexual exploitation, and to ensure assistance and protection of all victims, without discrimination on grounds of race or ethnicity, nationality, disability, age or gender,” they said.  

Meanwhile, the hundreds of children who have been separated from their families, especially in the Tigray region, are particularly vulnerable, warned the independent experts.

“The continuing lack of humanitarian access to the region is a major concern,” the experts continued, urging immediate national, bilateral and multilateral measures to prevent all forms of trafficking of children and to ensure their protection.

Identifying victims

They added that sufficient measures were not being taken to identify victims of trafficking, or support their recovery in ways that fully takes account of the extreme trauma being suffered.

“The failure to provide accountability for these serious human rights violations and grave crimes creates a climate of impunity, allows trafficking in persons to persist and perpetrators to go free,” underscored the six UN experts.

They urged all relevant stakeholders to ensure that victims of trafficking can adequately access medical assistance, including sexual and reproductive healthcare services and psychological support.

The experts said they had made their concerns known to both the Governments of Ethiopia and neighbouring Eritrea.

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Health & Wellness

HL7 FHIR, the Future of Health Information Exchange?

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Health Level 7 International is an association that calls itself a non profit organization, ANSI-accredited standards developing organization devoted to creating a thorough structure and standards set for the exchange, incorporation, sharing, and retrieval of digital health data that endorses clinical practice and the management, delivery, and evaluation of health services.

A next-generation standards framework developed by HL7, FHIR is described as such on the HL7 website. The best aspects of HL7’s v2, v3, and CDA product lines are combined in FHIR, which also makes use of the most recent web standards and places a strong emphasis on implementation.

Do you wonder what’s the difference between HL7 and FHIR? The core development technologies are the fundamental distinction between HL7 and FHIR. FHIR depends on open web technologies like JSON and RDF data formats as well as RESTful web services. FHIR reduces the learning curve for developers because they are already familiar with these technologies, allowing them to start working more immediately.

The “Resources” of FHIR and How They Help the Provider

FHIR is essentially an effective mechanism for healthcare professionals to communicate data about patients in a range of settings, including in-patient, ambulatory, acute, long-term, community, allied health, etc. The implementation of FHIR through its Resources is the aspect of it that matters the most to providers. The resources are comparable to “paper ‘forms’ indicating various types of medical and administrative data that can be gathered and shared,” as stated on their website. Each Resource or “form” is assigned a template by FHIR.

Why is FHIR important?

Data was locked in proprietary structures for many years. Providers, payers, and patients frequently had to revert to outdated, time-consuming techniques to transmit information, such as faxing chart notes or physically transferring paper-based records. Or systems had to transmit whole papers to answer a doctor’s demand for specific health information. Doctors have to search through entire paperwork to find a single piece of information, which drains them and takes lots of time. Luckily, each Resource can be provided using FHIR without the whole clinical record. This enables a quicker and significantly more effective interchange of health information.

Why is HL7 FHIR the future of health information exchange?

Sharing data is made easier, implementation is greatly simplified, and mobile apps are support FHIR better. Additionally, it provides crucial use cases that are advantageous to patients, payers, and providers.

To expedite decision-making, physicians can exchange patient data more effectively among teams. Medical data can be added to claims data by insurance companies to enhance risk assessment, reduce costs, and enhance outcomes. Additionally, patients can have more influence over their health by getting access to medical data via user-friendly apps that operate on smartphones, tablets, and wearables.

What makes FHIR different from the rest of the previous standards?

Although FHIR differs from earlier standards in numerous ways, there are two fundamental distinctions that make it so remarkable:

Security: TLS/SSL encryption is necessary for any production health data exchanged over FHIR. This makes it significantly safer than earlier HL7 standards.

Resources: FHIR makes use of uniform data components and formats, also referred to as “Resources.” The lowest feasible transactional unit in FHIR is a Resource, which provides significant data through a known identity.

FHIR can be used in a wide range of situations, such as mobile apps, cloud communications, data sharing based on electronic health records, server communication in large institutional healthcare providers, and more. Open source, cost-free, scalable, and adaptable summarize FHIR.

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35 years of Cultural Routes: Safeguarding European Values, Heritage, and Dialogue

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A Europe rich in history, heritage, dialogue and values: the Council of Europe Cultural Routes’ programme celebrates its 35th anniversary, on the occasion of the 11th Advisory Forum in Minoa Palace Hotel, Chania, Crete (Greece) on 5-7 October, with a special event to highlight the relevance of Cultural Routes for the promotion of cultural diversity, intercultural dialogue and sustainable tourism.

The Forum is organised by the Enlarged Partial Agreement on Cultural Routes of the Council of Europe and the European Institute of Cultural Routes, in co-operation with the Hellenic Ministry of Culture and Sports, the Hellenic Ministry of Tourism, the Greek National Tourism Organization, the Region of Crete, the Municipality of Chania, the Chamber of Industry and Commerce of Chania, and the Historic Cafes Route. The 2022 edition will be the opportunity to underline the growing relevance of the Cultural Routes methodology and practices in promoting Europe’s shared cultural heritage while fostering viable local development.

Deputy Secretary General Bjørn Berge will participate in the high-level dialogue, together with Minister of Culture and Sports of Greece Lina Mendoni, Minister of Tourism of Greece Vassilis Kikilias, Parliamentary Assembly (PACE) Vice-President and Chairperson of the Greek Delegation Dora Bakoyannis and Chair of the Statutory Committee of Cultural Routes Ambassador Patrick Engelberg (Luxembourg). 

Over three days of workshops and interactive debates, three main general sessions will be explored:

  1. Promoting European Values and Intercultural Dialogue;
  2. Safeguarding Heritage in Times of Crisis;
  3. Fostering Creative Industries, Cultural Tourism, Innovative Technologies for Sustainable Communities.

The Forum will discuss trends and challenges in relation to Cultural Routes, providing a platform for sharing experiences, reviewing progress, analysing professional practices, launching new initiatives and developing partnerships across Europe and beyond. Participants range from managers among the 48 cultural routes to representatives of national ministries, International Organisations, academics, experts and tourism professionals.

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